Rosana Aparecida Spadoti Dantas

The relationship between quality of life, sense of coherence and self-esteem in persons after coronary artery bypass graft surgery

We examined the contribution of Antonovskys sense of coherence in explaining the variance of quality of life (QOL) in 84 patients 1-2 years following coronary artery bypass graft surgery. The hypothesis was: after controlling for variables related to poor health vulnerability, perceived support, self-esteem, and chronic illness trajectory instability and work, the addition of sense of coherence will significantly add to the explained variance of quality of life. The first two variables explained 49% of the variance of the QOL scale. Adding perceived social support, self-esteem and sense of coherence increased explained variance to 64%, 69%, and 75%, respectively. These findings supported our hypothesis.

Estresse ocupacional entre profissionais de enfermagem do bloco cirúrgico

This descriptive, correlation, and cross-sectional study aimed to evaluate the presence of occupational stress among nursing professionals working in surgical settings and to investigate relations between occupational stress and the work characteristics. The Demand-Control Model proposed by Karasek was used to evaluate occupational stress. The sample was composed of 211 nursing professionals from 11 hospitals located in the city of Londrina-PR, Brazil. A questionnaire regarding socio-demographic and professional data and the Job Stress Scale were applied. Data was collected from April to November, 2007. Among the participants, most were auxiliary nurses (62.6%), women (86.7%), and married (54.0%). The average age was 40 years. The average for Demand, Control, and Social Support dimensions was 14.8 (S.D.=2.4), 16.5 (S.D.=2.3) and 18.7 (S.D.=2.8), respectively. Considering the results related to the Job Stress Scale, the Demand dimension showed a statistically significant association with the professional category (p=0.01), and Control showed a statistically significant association with the type of hospital, professional category, and weekly working hours (p<0.05).This descriptive, correlation, and cross-sectional study aimed to evaluate the presence of occupational stress among nursing professionals working in surgical settings and to investigate relations between occupational stress and the work characteristics. The Demand-Control Model proposed by Karasek was used to evaluate occupational stress. The sample was composed of 211 nursing professionals from 11 hospitals located in the city of Londrina-PR, Brazil. A questionnaire regarding socio-demographic and professional data and the Job Stress Scale were applied. Data was collected from April to November, 2007. Among the participants, most were auxiliary nurses (62.6%), women (86.7%), and married (54.0%). The average age was 40 years. The average for Demand, Control, and Social Support dimensions was 14.8 (S.D.=2.4), 16.5 (S.D.=2.3) and 18.7 (S.D.=2.8), respectively. Considering the results related to the Job Stress Scale, the Demand dimension showed a statistically significant association with the professional category (p=0.01), and Control showed a statistically significant association with the type of hospital, professional category, and weekly working hours (p<0.05). DESCRIPTORS: Stress. Nursing. Surgicenters. ESTRES OCUPACIONAL ENTRE PROFESIONALES DE ENFERMERiA QUE LABORAN EN UNIDADES QUIRURGICAS RESUMEN: Se trata de un estudio de correlacion, descriptivo y transversal, cuyo objetivo fue evaluar la incidencia de estres laboral de trabajadores de enfermeria que laboran en unidades quirurgicas y las posibles asociaciones entre la medida de estres laboral y las caracteristicas del trabajo. El modelo Demanda-Control de Karasek fue utilizado para evaluar el estres laboral. La muestra fue constituida por 211 profesionales de enfermeria de 11 hospitales de la ciudad de Londrina-PR, Brasil. Los participantes respondieron a un cuestionario de datos generales, ocupacionales y la Job Stress Scale. La recoleccion de los datos fue hecha en el periodo de abril a noviembre de 2007. Los resultados demostraron que la mayoria eran auxiliares de enfermeria (62,6%), del sexo femenino (86,7%), casados (54,0%), con media de edad de 40 anos y con exposicion intermediaria al estres ocupacional (56,1%). Las medias relacionadas a las dimensiones Demanda, Control y Apoyo Social fueron de 14,8 (D.P.=2,4), 16,5 (D.P.=2,3) y 18,7 (D.P.=2,8), respectivamente. Las asociaciones cuyo resultado fue estadisticamente significante ocurrieron entre la Demanda y la categoria profesional (p=0,01), el Control y tipos de hospitales, categoria profesional y carga horaria semanal (p<0,05). DESCRIPTORES: Estres. Enfermeria. Centros quirurgicos.

Qualidade de vida, aspectos sociodemográficos e de sexualidade de pessoas vivendo com HIV/AIDS

Estudo transversal realizado em dois servicos publicos de saude de um municipio paulista com objetivo de avaliar a Qualidade de Vida de individuos com HIV/aids e sua relacao com fatores sociodemograficos e referentes a sexualidade, utilizando-se o HIV/aids Targeted Quality of Life. Dos 228 participantes, 122 sao homens e 106 mulheres, com idade media de 39 anos. Diferentes variaveis estiveram associadas com piores escores de qualidade de vida tais como as categorias ser analfabeto, menor escolaridade e nao ter renda ou vinculo empregaticio. Com referencia as variaveis relacionadas a sexualidade, os piores escores de qualidade de vida estiveram associados com nao ter vida sexual ativa e ter parceiro com HIV/aids. Viver com o HIV/aids repercute em varios dominios da qualidade de vida, requerendo para a sua avaliacao e intervencao, melhor conhecimento e compreensao das diferentes variaveis que podem ter impacto negativo na qualidade de vida destes individuos.This cross-sectional study aimed to assess the quality of life of Brazilian HIV/AIDS carriers in a county in Sao Paulo and its association with socio-demographic variables and sexuality-related factors, using HIV/Aids Targeted Quality of Life (HATQoL). Of the 228 participants, 122 were men and 106 women, with an average age of 39 years. Different variables were associated to worse qualities of life, such as illiteracy, lower educational levels, and having no income or formal job. Concerning the variables related to sexuality, the worst QoL scores were associated to not having an active sexual life and having a partner with HIV/Aids. Living with HIV/Aids influences several domains of quality of life, requiring greater knowledge and comprehension of the different variables that can negatively influence the QoL of these individuals for a better care evaluation and delivery.

Cross-cultural adaptation and validity of the 'Edmonton Frail Scale - EFS' in a Brazilian elderly sample.

This study aimed to assess the cross-cultural adaptation of the Edmonton Frail Scale (EFS) and its validity in a Brazilian elderly sample. Translation and back-translation were performed, as well as discussion with professionals and elderly for conceptual equivalence, semantic validation and pre-test of the scale. The scale was applied to 137 elderly aged 65 years or older who lived in the community. In the know-groups validation of the frailty diagnosis between gender, age and cognitive deficit, elder elderly, female and with a cognitive deficit scored higher on the frailty diagnosis. A negative convergent correlation was found between the EFS and the Functional Independence Measure (FIM) (-0.53, p< 0.01) and the total score of the Mini-Mental State Examination (MMSE) (-0.60, p< 0.01). The watch test presented high sensitivity and low specificity levels. The Portuguese version of the EFS was considered valid in the study sample.El objetivo de este estudio fue evaluar la adaptacion cultural de la Edmonton Frail Scale (EFS) y su validez enuna muestra de ancianos brasilenos. Fueron realizadas las etapas de traduccion y retrotraduccion, discusioncon profesionales y ancianos para equivalencia conceptual, validacion semantica y prueba piloto de la escala.El instrumento fue aplicado en 137 ancianos, con 65 anos o mas de edad, que vivian en la comunidad. En lavalidacion de grupos conocidos, del diagnostico de fragilidad entre sexo, edad y deficit cognitivo, los ancianoscon edad mas avanzada, sexo femenino y con deficit cognitivo tuvieron mayor puntuacion en el diagnostico defragilidad. Hubo una correlacion convergente negativa de la EFS con la Medida de Independencia Funcional(MIF) (-0,53, p<0,01) y el puntaje bruto del Mini-Examen del Estado Mental (MEEM) (-0,60, p<0,01). La pruebadel reloj presento alta sensibilidad y baja especificidad. La version para la lengua portuguesa de la EFS fueconsiderada valida en la muestra estudiada.DESCRIPTORES: anciano fragil; investigacion metodologica en enfermeria; comparacion transcultural; estudiosde validacion

The cultural adaptation and validation of the "Burn Specific Health Scale-Revised" (BSHS-R): version for Brazilian burn victims.

BACKGROUND The Burns Specific Health Scale-Revised (BSHS-R) is of easy application, can be self-administered, and it is considered a good scale to evaluate various important life aspects of burn victims. OBJECTIVES To translate and culturally adapt the BSHS-R into the Brazilian-Portuguese language and to evaluate the internal consistency and convergent validity of the translated BSHS-R. METHODS The cultural adaptation of the BSHS-R included translation and back-translation, discussions with professionals and patients to ensure conceptual equivalence, semantic evaluation, and pre-test of the instrument. The Final Brazilian-Portuguese Version (FBPV) of the BSHS-R was tested on a group of 115 burn patients for internal consistency and validity of construct (using the Rosenberg Self-Esteem Scale (RSES) and the Beck Depression Inventory (BDI)). RESULTS All values of Cronbachs alpha were greater than .8, demonstrating that the internal consistency of the FBPV was very high. Self-esteem was highly correlated with affect and body image (r=.59, p<.001), and with interpersonal relationships (r=.51, p<.001). Correlations between the domains of the FBPV and the BDI were all negative but larger in magnitude than the correlations with RSES. Depression was highly correlated with affect and body image (r=-.77, p<.001), and with interpersonal relationships (r=-.67, p<.001). CONCLUSIONS The results showed that the adapted version of the BSHS-R into Brazilian-Portuguese fulfills the validity and reliability criteria required from an instrument of health status assessment for burn patients.

Qualidade de vida no trabalho de profissionais de enfermagem, atuantes em unidades do bloco cirúrgico, sob a ótica da satisfação

Estudo descritivo, de corte transversal, que avaliou a qualidade de vida no trabalho (QVT) de profissionais de enfermagem, atuantes em unidades do Bloco Cirurgico (BC) em quatro hospitais de Londrina, PR. Participaram 105 trabalhadores, sendo a maioria do sexo feminino (82,9%), com media de idade de 38 anos. Dentre eles, 69,5% eram auxiliares de enfermagem, 11,4% eram enfermeiros. A QVT foi medida atraves do Indice de Satisfacao no Trabalho (ISP) e os valores obtidos variaram entre 114 e 227 e media de 169,7±25,9. O valor medio dos 44 itens foi de 3,85, significando que os trabalhadores estavam entre insatisfeitos e nem satisfeitos/nem insatisfeitos com a QVT. A remuneracao foi considerada como fonte de menor satisfacao entre os trabalhadores, enquanto o dominio status profissional, o de maior satisfacao. O instrumento mostrou-se confiavel a populacao estudada, sendo o valor obtido para o alpha de Cronbach igual a 0,81.This transversal and descriptive study aimed at evaluating the life quality of nursing professionals working at a surgical ward, using the Index of Work Satisfaction. Study participants were 105 workers; most of them women (82.9%), with an average age of 38. In this group, 69.5% were nursing auxiliaries and 11.4% were nurses. As to quality of life at work, scores varied between 114 and 227 (possible range of 44 to 308), with an average score of 169.7+/-25.9. The average score for the 44 items was 3.85, showing that workers were either dissatisfied or neither satisfied nor dissatisfied with the aspects mentioned in the instrument on quality of life at work. Satisfaction levels were lowest for remuneration and highest for the professional status domain. Authors found the instrument reliable for the study population, with a Cronbachs alpha of 0.81.

A auto-estima de indivíduos que foram submetidos à cirurgia de revascularização do miocárdio

Estudo descritivo e correlacional com objetivos de medir a auto-estima de individuos submetidos a cirurgia de revascularizacao do miocardio e correlacionar a auto-estima com variaveis socio-demograficas e clinicas. Uma amostra de 97 pacientes ambulatoriais foi entrevistada. Os dados foram analisados atraves de estatistica descritiva, teste de Correlacao de Pearson, testes Mann-Whitney e Kruskal Wallis. A confiabilidade da escala foi verificada (alfa de Cronbach de 0,79) e a media encontrada para auto-estima foi 32,22 (intervalo possivel de 10 a 40). Encontramos correlacao, estatisticamente significante, apenas para auto-estima e sexo. Concluimos que os participantes apresentavam elevada auto-estima a qual nao estava correlacionada com outras variaveis.This is descriptive and correlational study that measured the self-esteem of individuals submitted to coronary artery bypass graft surgery and correlated the self-esteem with socio-demographic and clinical variables. A sample of 97 outpatients was interviewed. Data were analyzed by means of descriptive statistics, Pearsons Correlation test, Mann-Whitney and Kruskal Wallis tests. The reliability of the scale was verified (Cronbach alfa was 0.79) and the average for self-esteem was found to be 32.22 (possible range from 10 to 40). Statistically significant correlation was found only between self-esteem and gender. The conclusion is that the participants had a high level of self-esteem, which was not correlated to other variables.

Adaptação cultural e validade da Edmonton Frail Scale - EFS em uma amostra de idosos brasileiros

This study aimed to assess the cross-cultural adaptation of the Edmonton Frail Scale (EFS) and its validity in a Brazilian elderly sample. Translation and back-translation were performed, as well as discussion with professionals and elderly for conceptual equivalence, semantic validation and pre-test of the scale. The scale was applied to 137 elderly aged 65 years or older who lived in the community. In the know-groups validation of the frailty diagnosis between gender, age and cognitive deficit, elder elderly, female and with a cognitive deficit scored higher on the frailty diagnosis. A negative convergent correlation was found between the EFS and the Functional Independence Measure (FIM) (-0.53, p< 0.01) and the total score of the Mini-Mental State Examination (MMSE) (-0.60, p< 0.01). The watch test presented high sensitivity and low specificity levels. The Portuguese version of the EFS was considered valid in the study sample.El objetivo de este estudio fue evaluar la adaptacion cultural de la Edmonton Frail Scale (EFS) y su validez enuna muestra de ancianos brasilenos. Fueron realizadas las etapas de traduccion y retrotraduccion, discusioncon profesionales y ancianos para equivalencia conceptual, validacion semantica y prueba piloto de la escala.El instrumento fue aplicado en 137 ancianos, con 65 anos o mas de edad, que vivian en la comunidad. En lavalidacion de grupos conocidos, del diagnostico de fragilidad entre sexo, edad y deficit cognitivo, los ancianoscon edad mas avanzada, sexo femenino y con deficit cognitivo tuvieron mayor puntuacion en el diagnostico defragilidad. Hubo una correlacion convergente negativa de la EFS con la Medida de Independencia Funcional(MIF) (-0,53, p<0,01) y el puntaje bruto del Mini-Examen del Estado Mental (MEEM) (-0,60, p<0,01). La pruebadel reloj presento alta sensibilidad y baja especificidad. La version para la lengua portuguesa de la EFS fueconsiderada valida en la muestra estudiada.DESCRIPTORES: anciano fragil; investigacion metodologica en enfermeria; comparacion transcultural; estudiosde validacion

Diagnósticos de enfermagem no perioperatório de cirurgia cardíaca

This study identified the nursing diagnoses of patients in the perioperative period of cardiac surgeries and verified the existence or not of agreement between the first author and other nurses in the identification of these diagnoses. Seventeen patients admitted for cardiac surgery were submitted to evaluation using instruments for the perioperative period. In the preoperative, out of the 9 diagnosis categories identified by the first author, three agreed with the nurses (example: Activity intolerance). In the trans-operative, seven categories showed agreement among the nurses and the first author (example: Risk for infection). In the post-operative, 11 categories showed agreement among the nurses and the first author (example: Risk for peripheral neurovascular dysfunction).This study identified the nursing diagnoses of patients in the perioperative period of cardiac surgeries and verified the existence or not of agreement between the first author and other nurses in the identification of these diagnoses. Seventeen patients admitted for cardiac surgery were submitted to evaluation using instruments for the perioperative period. In the pre-operative, out of the 9 diagnosis categories identified by the first author, three agreed with the nurses (example: Activity intolerance). In the trans-operative, seven categories showed agreement among the nurses and the first author (example: Risk for infection). In the post-operative, 11 categories showed agreement among the nurses and the first author (example: Risk for peripheral neurovascular dysfunction).

Psychometric properties of the Brazilian Portuguese versions of the 29‐ and 13‐item scales of the Antonovsky's Sense of Coherence (SOC‐29 and SOC‐13) evaluated in Brazilian cardiac patients

AIM AND OBJECTIVES To assess the construct validity and reliability of the Brazilian Portuguese versions of the 29- and 13-item scales of the Antonovskys Sense of Coherence Scale (SOC-29 and SOC-13). BACKGROUND Antonovskys Sense of Coherence Questionnaire was developed to measure the main construct of the salutogenic theory, the sense of coherence. The use of the sense of coherence by health professionals might help identifying specific coping strategies used by person with chronic illness. DESIGN Cross-sectional study. METHODS The SOC-29 has been culturally adapted to Brazilian Portuguese language. In this study, we assessed its psychometric properties (construct validity and internal reliability) tested on 203 cardiac patients. The SOC-13 was tested on another 100 cardiac patients hospitalised in the same hospital. The construct validity of both versions was investigated through Pearson correlation between the measures of sense of coherence and of correlated constructs (self-esteem, depression and age), analysis of the principal components and comparison of distinct groups (male vs. female). The internal reliability for both versions was evaluated by Cronbachs alpha. RESULTS For both versions, the construct validity assessments showed strong positive correlations between sense of coherence and self-esteem and strong negative correlations between sense of coherence and depression (convergent validity), and weak correlation between sense of coherence and age (divergent validity). Principal component analysis supported in part the presence of a single component (unidimensionality). Differences in sense of coherence were found by sex with SOC-29, but not with SOC-13. Cronbachs alpha coefficients showed satisfactory internal consistency in both versions. CONCLUSIONS The Brazilian Portuguese versions of SOC-29 and SOC-13 can be considered valid and reliable for the populations studied. More studies need to be performed to assess these proprieties in other Brazilian populations. RELEVANCE TO CLINICAL PRACTICE This scale can be used in research and clinical practice in Brazil to assess nursing interventions aimed at decreasing stress during cardiac rehabilitation.